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DocuSign Envelope ID:26E9AAC4-2291-4C6A-94BD-AFE77EDE3DD5 <br /> ORANGE COUNTY—DEPARTMENT USE ONLY <br /> Department <br /> Party/Vendor Name: Party/Vendor Contact Person: Contact Phone: Party/Vendor Address: <br /> City State: Zip: Department: Amount: $27,000 Purpose: Budget <br /> Code(s): Vendor# (N/A if new vendor) Vendor is a BOCC consultant? Yes ❑ No❑ Contract <br /> Type: (Check one)New ❑ Renewal ❑ Amendment ❑ Effective Date Approved by Board Yes❑No <br /> ❑ Agenda Date: <br /> This agreement is approved as to to 7a�,�1, ,,�{d content:"`"""`"d' "� d" 2/12/2016 <br /> Department Director's Signature �ag €e Date: <br /> Information Technolosies <br /> (Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is <br /> approved as to information technology content and specifications: <br /> Office of the Chief Information Officer Date: <br /> Risk Management <br /> This agreement is approved for sufficiency imamaamandards, specifications,and requirements: <br /> gusa, r,O�6 2/17/2016 <br /> Office of the Risk Management Officer -FDC a Date: <br /> Financial Services <br /> This instrument has been pre-audited in the manner required by the Local Government Budget and Fiscal Control <br /> Act: F cuSigned by: <br /> Office of the Chief Financial Officer � Date:2/24/2016 <br /> Legal Services <br /> This agreement is approved as to legal f aVA�affia, y: <br /> 2/26/2016 <br /> Office of the County Attorney Date: <br /> Clerk to the Board <br /> Received for record retention: <br /> All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloydkorangecount.nic.gov <br /> The following signature block is for hard copies only and is not required for Docusign contracts: <br /> Office of the Clerk to the Board Date: <br /> Revised 1/16 <br /> 10 <br />